Despite pericardiocentesis, the patient’s symptoms persisted. After a multidisciplinary review of possible therapeutic options, bilateral PA stenting was performed to unload the right ventricle and to provide symptom relief. The day prior to undergoing angioplasty, the patient received 300 mg clopidogrel. Using the right femoral vein, an 8F hockey-stick catheter with sideholes (Cordis; Miami, FL) was advanced to the left PA. A balloon (Powerflex Plus 6 mm × 30 mm; Cordis) was used to predilate the lesion. A Corinthian stent (8 mm/29 mm; Cordis) then was deployed at 10 atm, achieving a reduction in the stenotic area from 80 to 30% (poststent diameter, 7 mm), no residual gradient, and excellent distal flow (Fig 2, 3
). The guiding catheter was exchanged for an 8F multipurpose catheter with sideholes (Cordis), which was advanced to the right PA. The 6 mm/30 mm balloon (Powerflex Plus; Cordis) was used to predilatate the lesion. A Corinthian 8 mm/29 mm stent (Cordis) then was deployed and subsequently was postdilated with a 10 mm/20 mm balloon (Powerflex Plus; Cordis) up to 9 atm. The final image revealed a 40% residual stenosis (poststent diameter, 9 mm), a residual gradient of 25 mm Hg, and excellent distal flow.